Organization Active NPI

JS Management, LLC

Doing business as St. Michael's Home Health

  • Home Health Agency
  • Gretna, LA
National Provider Identifier
1538548508
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1250 Issued in LA
Legal business name
JS MANAGEMENT, LLC
Doing business as
St. Michael's Home Health
Practice address
332 Amelia St
Gretna, LA 70053-5323
Phone
(504) 322-4525
Fax
(985) 257-2755
NPI assigned
May 23, 2015
Last updated
Oct 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Kelli S. Vedros, RN
Title
Don/Administrator
Phone
(504) 239-4989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1250 LA Primary

Addresses

Primary practice location

332 Amelia St
Gretna, LA 70053-5323

Mailing address

332 Amelia St
Gretna, LA 70053-5323
Phone (504) 322-4525

Other names 1

  • St. Michael's Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160121001238 LA Part A Provider - Home Health Agency 3375859333 Practice locations: Gretna, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1538548508. Details of each certification follow.

Home health agency certification: CCN 197793

Legal name
JS MANAGEMENT LLC
Doing business as
ST MICHAEL'S HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 6, 2017
Last certification
Dec 6, 2017
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Dec 17, 2014 in LA
Enrollment address
332 Amelia St
Gretna, LA 70053-5323
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
St Michael's Home HealthCCN 197793 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Dec 6, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2096771St Michael's Home Health332 Amelia St, Gretna, LA 70053Certificate of waiverMay 31, 2027

National Provider Directory

National Provider Directory

Locations

505 Amelia St
Ste B
Gretna, LA 70053

630 4th St
Ste B
Gretna, LA 70053
Phone (504) 239-0206

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kelli S Vedros Individual 5% Or Greater Direct Ownership Interest Apr 2, 2018 50%
Corporate Director Apr 2, 2018 50%
Operational/Managerial Control Apr 2, 2018
Dolores Jambon Individual 5% Or Greater Direct Ownership Interest Apr 2, 2018 50%
Corporate Director Apr 2, 2018 50%

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1538548508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 AMELIA ST",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700535323",
            "telephone_number": "504-322-4525",
            "fax_number": "985-257-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 AMELIA ST",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700535323",
            "telephone_number": "504-322-4525",
            "fax_number": "985-257-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JS MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "VEDROS",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DON/ADMINISTRATOR",
        "authorized_official_telephone_number": "504-239-4989",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "1250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Michael's Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Michael's Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gretna, LA

Sources for this page

Verify at the official NPI Registry.